for allowing workers and mid-level managers and supervisors to get away with not following proper procedures and safety protocols within the refinery.

That failure, according to the report resulted in “a tolerance for noncompliance with those processes and procedures.”

The audit team also found that BP management failed to learn from previous incidents, audits and peer reviews. That led to “complacency towards serious process safety risks, driven by a lack of awareness of potential consequences,” the report reads. “The lack of awareness of risk is also reflected in day-to-day operational activity.”

Despite the March 23 explosions, the audit also found that supervisors and employees within the refinery still do not consistently follow Control of Work processes. Control of Work is the method of how procedures within the various units are supposed to be handled. But even those methods were questioned.

“The existing Control of Work process does not provide adequate assurance that risks are being effectively managed,” the report states.

The audit also found workplace conditions within the refinery to be below par. It noted that areas of the refinery did not appear to be well maintained and the work environment in some control rooms were inadequate to allow operators to have a full focus on unit control.